HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /' J' SC N EL Permit Number:
r, St. Lucie Count,
Building Permit Application JAN 2 3 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Alteration
N:
Address: 3702 N Highway A1A, North Hutchinson Island, FL 32949
Legal Description: No Parcel # - Entire Condominium Building
Property Tax ID #: 30-0312196 Lot No. ALL
Site Plan Name: Block No. ALL
Project Name: Grand Isle Soffit Repairs
Setbacks Front Back: Right Side: Left Side:
OF
Replacement of existing soffit with Durock and stucco finish. Replace window perimeter sealants
I CONSTRUCTION INFORMATION: 1
❑HVAC ❑ Gas Tank
❑Electric OPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 45,000.00
Sas Piping ❑_Shutters ❑ Windows/Doors
Sprinklers ❑ Generator ❑ Roof = Roof pitch
S Ft. of First Floor: _
utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grand Isle of North Hutchinson Island Condominium Assoc. Inc
Address: 3702 N Highway A1A
Name: James E. Emory
Company: Chematics of the South Restoration Division, Inc.
City: North Hutchinson Island State: FL
Zip Code: 32949 Fax:
Phone No.
Address: 166 Center Street, Suite 210
City: Cape Canaveral State: FL
Zip Code: 32920 Fax: (321)459-2888
Phone No. (321)459-3300
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mitchell.chematics@gmail.com
State or County License: CGC 059844
�f value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: C.AG. canbeno Architectural Group, Inc.
MORTGAGE COMPANY:
Name:
V Not Applicable
Address: 13 E Melboume Avenue, Una C
Address:
City: Melb°ume State: FL
Zip: 32901 Phone: (321)327-5960
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name: TED
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinP_ vour Notice of Commencement.
Signature of or r/Lessee/Conlractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S+. UGC
The fo�rggoing instrument was acknowledged before me
this 4X day of - my-a-r�j 201*7 by
5��� Fl�.,►VY�Y.
tµtt PP,
(Name of person acknowledgi' ' �* My COMMISSION# FF 199610
EXPIRES: February 15, 2019
J M_�GMQ• B0nd0d7Bru BuEgetNebryServices
(Signature of Notary Pu/bli - S e of Florida )
Personally Known V OR roduced Identification
Type of Identification Produced
Commission No. 1991,P113 (Seal)
Revised 07/15/2014
Signature
STATE OF FLOR1IaA
COUNTY OF la u✓w o�
The forgoing instrument was acknowledged before me
this °iday of �lti0. 2011 by
O:m2S �. Emox`�'�,a"��'°ORUBviletviRlaweB °,"�%:°�P
(Name of person acknowledgin --- * ?'A
�*
�l 1 di i NOISSIMOO M
AOU -W 3SIN30 u�ne i++sO°
(Signature of Notary
,Puublic St of Florida )
Personally Known " OR Produced Identification
Type of Identification Produced
Commission No. (491e10 (Seal)
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